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'OCT xu <br />L. M.C.D. <br />Lake Minnetonka Conserva`inn District <br />LMCD Fee I) � /i 6 <br />(for __.ICD use) <br />Because this inrm is ! <br />to be copied, please ! <br />use black ink or type.! <br />1 <br />APPLICATION: SPECIAL DENSITY PERMIT <br />City of Wayzata <br />(Print or type owner's name) <br />600 Rice Street, Wav::ata, MN 5-391 <br />(Owner's address) <br />the owner of land in the City of Wayzata <br />Business name: <br />(if different from owner) <br />(Street address) <br />(Mailing address if different from street address) <br />DENSITY <br />473-0234 <br />Phone; if no <br />answer, call: <br />937-9510 <br />Phone; if nc <br />answer, call: <br />which is riparian to LMCD area(s) Wayzata Bay,_ No(s)._29 <br />Lake Minnetonka, applies pursuant to LMCD Code Chapter III for a Special Density Permit, <br />in accordance with all data and other information submitted herevith and made a part <br />hereof. The following must accompany this application: <br />(a) Locator map (d) Site plan of dockage on/or <br />(b) County plat of area to overlay survey <br />(c) Certified survey and leg-,' description (e) Dock constrLction detail sheet <br />1. Type of facility ( )Outlot association M Municipal ( )Commercial marina <br />(please check one): ( )Multiple dwelling ( )Transient ( )Private club <br />( )Private multiple ( )Other (explain)_ <br />2. ti>ended „_ of facility Increase boat slips from 85 to 100 in Siry marina <br />3. Abutr w, ,)roperty owners at the lakeshare: <br />North or West City property to the west <br />(Name and MAILING address) <br />South ­r East Minnetonka Boat Works to the east, 294 Grove 1,Anf-, Wayn ra <br />(Name and PIAILING address) <br />Other affected parties none <br />(Names and MAILING addresses - attach sheet it necessary) <br />